Evaluation and selection of potential live kidney donors

被引:18
作者
Wafa, EW [1 ]
Donia, AF [1 ]
Ali-El-Dein, B [1 ]
El Agroudy, AE [1 ]
Rifaie, A [1 ]
Moustafa, A [1 ]
Ghoneim, MA [1 ]
机构
[1] Mansoura Univ, Dept Urol, Urol & Nephrol Ctr, Mansoura, Egypt
关键词
kidney; kidney transplantation; living donors;
D O I
10.1097/01.ju.0000116431.65651.58
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: Renal transplantation is an optimal therapy for patients with end stage kidney disease. A thorough evaluation of potential donors is necessary to provide the best functional outcome for recipients and ensure no or minimal morbidity for donors. Materials and Methods: Between 1992 and 2001, 1,661 ABO compatible potential living donors were evaluated clinically as well as by laboratory and imaging studies. Results: Of 1,661 potential donors 814 (49%) were excluded. The reasons for elimination were general medical reasons in 34.4% of cases, nephrological disorders in 25.6%, urological diseases in 11.7% and immunological causes in 16.2%. Exclusion on an ethical basis accounted for 12.2% of cases. Conclusions: Although kidneys from living donors provide the best functional outcome, 50% of potential candidates must be excluded.
引用
收藏
页码:1424 / 1427
页数:4
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